The Hospice Nursing Podcast
by James Dibben
This is the only podcast dedicated to helping hospice nurses find fulfillment while avoiding the burnout that threatens the specialty. Hosted by James Dibben in Kansas City, Missouri. Visit our home page at The Hospice Nursing Podcast.
Episodes
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Episode Sixty-One: Moving Indoors
In this episode I make some announcements on future plans for the show. ============================== As always, don’t forget to call, text or email to leave feedback! I would love to hear from you! 816-834-9191 [email protected] ============================== Be sure to check...
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Episode Sixty: Personal Loss with Mike Barrett
In this episode my good friend, Mike Barrett, returns to the show to share his own story of losing his mother in the last month. Mike shares with us why he wanted to share this with us so soon after his mother’s death. He also goes into detail on how overwhelming everything was. He explains how...
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Episode Fifty-Nine: Ask Questions; Talk Less
In this episode I talk about the importance of asking good questions that help our patients and caregivers move forward in their acceptance of an end of life experience. The questions in this episode are the following… Is what I’m seeing something new? What does the word “hospice” mean to you?…
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Episode Fifty-Eight: 10 in 10 Part 2
Welcome to part 2 of the top 10 things I have learned in my first 10 years as a hospice provider! In this episode I cover items 6-10 of my list. 6. Work/life balance doesn’t happen by accident 7. Hospice is about repeatable and predictable behavior in every department 8. Haloperidol is the best...
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Episode Fifty-Seven: 10 in 10 Part 1
Welcome to episode 57 of The Hospice Nursing Podcast! In this episode I start with the top 5 things I have learned in my 10 years of hospice experience. Case management is the foundation of all hospice care Case management success is in the details There is not just one way to do hospice Model…
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Episode Fifty-Six: Ebb and Flow
I’m back from a 6 month break from producing the show! In this episode I explain why I chose not to record any episodes in the last 6 months. I then review some of the things I learned during a massive growth spurt at my agency. I review the importance of self care, and I share some of my own...
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Episode Fifty-Five: Answering Pain Management Questions
In this episode I answer 3 questions from the hospice nurse support group on facebook. The first question has to do with giving liquid morphine every 6 hours scheduled and PRN morphine every 3 hours PRN. The second question involves using Tramadol for pain management. The third question has to do...
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Episode Fifty-Four: 11 Concepts I Learned From Chuck Schroeder
In this episode I explore 11 things I learned from my 30 year friendship with Chuck Schroeder. Chuck Schroeder went to be with Jesus on March 21st 2024. He was a monumental figure in my life. After speaking at his Celebration of Life service, I decided to do a podcast episode sharing what I…
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Episode Fifty-Three: The Labor of Life and Death With Barbara Karnes
In this episode I am privileged to interview Barbara Karnes, RN. Barbara is an award winning end of life educator, award wining nurse, NHPCO Winner 2018 & 2015 International Humanitarian Woman of the Year. Yeah, she’s a big deal, and she took time out of her busy schedule to spend some time on…
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Episode Fifty-Two: Symbiosis
In this episode I discuss the three-legged stool that makes up a hospice agency. The three legs are Sales, Operations and Clinical. If either of these legs is having problems, the stool is at risk to fall down. I recently had a listener ask me to discuss the differences between office staff and...
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Episode Fifty-One: Nurse Keith Interview
For this episode I decided to share a recent interview I did for the Nurse Keith podcast. It was a great time to share with Keith’s audience some of my observations from the world of hospice. I believe this was a great opportunity to share hospice with a whole new audience. Take a minute to visit...
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Episode Fifty: Exit Strategies
In this episode I answer a listener email question regarding death visits. No two death visits are alike, so in this episode I try to cover some of the basics. I cover some of the following topics. Call the funeral home as quickly as possible It’s not about you Don’t always be in a hurry to...
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Episode Forty-Nine: Don’t Fail Me Now
In this episode I answer the following question from a listener. Hi, any chance of getting a podcast on Service Failures? I've been in hospice for around two years. I hear the term thrown around, but can't quite grasp all the details. I don't see any podcasts or blog posts around this subject…
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Episode Forty-Eight: Six ways to promote growth
In this episode I focus on the top 6 concepts I believe are essential to promoting the growth of a hospice office. Ultimately, the administrator is responsible for creating an environment for success. Any administrator who wants to blame others for lack of success, is an administrator nobody…
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Episode Forty-Seven: Don’t Say Hospice
In this episode I review my strategies when I have family members who are afraid to tell their loved one that hospice is being consulted for care. I spend some time helping you understand the real difference between patients who can understand what they are being signed up for versus patients who...
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Episode Forty-Six: My Wish For You
Welcome to 2024! For today’s episode I decided to present you with 3 things I feel like every hospice nurse needs to find success and peace of mind! In this episode I review the importance of making sure we pull into our driveways at the end of the day with all of our work completed. I point out...
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Episode Forty-Five: Be the leader you never had
This episode is all about leadership. Everyone in hospice is a leader, and being a leader is completely different than being a boss. In this episode I provide some practical advice to help make sure we never lose our perspective on what our nurses go through every day. I encourage administrators...
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Episode Forty-Four: Hospice Stories
In this episode I perform (if you want to call it that) dramatic readings of 11 posts from my blog. You can view and read the blog posts from the following links. The Last Bath The Last Prayer Hospice Is Like Haircuts? Be Like Aunt Joyce My Friends Keep Dying A Night at the Park The Last Kiss The...
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Episode Forty-Three: Case Manager Foundations
For this episode I take one of my coaching sessions from inside The Hospice Nursing Community and bring it to the show. This is something I have ever done before. In general, I like to make sure content inside of The Hospice Nursing Community is unique and cannot be found anywhere else. In this...
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Episode Forty-Two: In the Beginning
In this episode I answer the following question from May. May has been charged with a hospice startup. “I always strive to maintain the values of empathy and fairness, and I am committed to being an unwavering advocate for our team and our patients. Currently, we've encountered challenges with...
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Episode Forty-One: The Low and Slow of Hospice Sales
In this episode I step aside from clinical talk, and revisit a phone call I had with listener Chauncey. Last week I had a great conversation with Chauncey. We discussed the challenges a new marketer can face when working a territory for the first time. In this episode I discuss the difference...
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Episode Forty: Workin For The Weekend
In this episode I answer the following question sent to me by Pamela. “Any interest in a show that highlights weekend/evening staff. The challenge I face is communication. If staff do not add thorough notes, email/call me, or otherwise give report, It really makes my job a struggle! Also,...
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Episode Thirty-Nine: Caseload Management Tips and Tricks
In this episode I answer a question from Gina. In a recent email from Gina, she asks the following question. “One topic I would love for you to cover is that of high case loads - and what you consider that number to be, what number is considered ideal for excellent, superior care and how to...
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Episode Thirty-Eight: Administratoring
In this episode I review the 3 large projects I completed in my first 4 months as administrator. I share the challenges most agencies face when it comes to tracking room and board charges for LTC patients. I review the extensive orientation program I implemented to make sure all new staff get a...
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Episode Thirty-Seven: More For Hospice Nurses
In this episode I welcome back Shelley Henry from Amity Group to discuss the “Your Opinion Matters” hospice nurse survey she conducted last winter. During the episode Shelley shares with us the 3 biggest takeaways she got from doing the survey. Redundant Documentation Nurse-to-patient Ratios...
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Episode Thirty-Six: When Sales Met Clinical
In this episode I explore the frequent, maybe even normal, conflict that can arise between sales and clinical. I review what I believe the clinical team needs to do to be more accommodating and show the sales team we are serious about growth. I also review some things that the sales team can do…
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Episode Thirty-Five: Special Needs
In this episode I review some of the challenges we can face when caring for patients with a long history of substance abuse. During the show I review the psychosocial reasons we will find ways to not admit people who need hospice. I also discuss how we can easily complicate the qualifications for...
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Episode Thirty-Four: The Hospice House Part 2
This is part 2 of my conversation with Kris from The Hospice Nursing Support Group on Facebook. During part 2 if this conversation I ask Kris the following questions. How does IDT work at the hospice house? Do all hospice house patients die? How do you describe the hospice house to your…
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Episode Thirty-Three: The Hospice House Part 1
In this episode I welcome back Kris from The Hospice Nursing Support Group on Facebook. This episode will be the first as we discuss the 4 levels of care that Medicare requires all hospice organizations provide. During the episode I explain that my conversation with Kris will be broken into two...
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Episode Thirty-Two: Imposter Syndrome
In this episode I explore the realization that, if we are honest, we all have feelings of insecurity and inadequacy. Imposter syndrome is something that we all will face at times in our lives. We will especially face imposter syndrome when we are adventurous and are willing to take on new...
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Episode Thirty-One: Rock Bottom with Michelle Ery
In this episode I welcome veteran hospice nurse, Michelle Ery. During the show, Michelle shares with us how she obsessed over her patients to the point that she started using substances to manage the anxiety and obsession. Michelle shares with us what happened to her on Memorial Day of 2020, and...
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Episode Thirty: Just Quit
In this episode I return to reviewing my series on Avoiding Hospice Burnout. I cover several issues that I have observed causing major burnout for hospice nurses. Are you waiting for hospice to get easier? Are you unwilling to work an 8 hour day? Do you struggle with autonomy? Are you unwilling…
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Episode Twenty-Nine: The Weight of the Work
I’m back behind the microphone as I return from a month-long break from the show. In this episode I take on the challenge of discussing hospice leadership. I review some of my own challenges in my leadership experience. I also spend some time discussing the last 7 months I have spent in the…
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Episode Twenty-Eight: The Return of Instructor King
In episode Twenty-Eight Chanel King returns to continue our discussion from episode Twenty-Seven. In this episode we discuss Psychological first aide. Chanel reviews some of Maslow’s hierarchy of needs and integrates them so well into our understanding of the challenges we face when caring for…
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Episode Twenty-Seven: Instructor King
In this episode I introduce Chanel King to The Hospice Nursing Podcast! Chanel King (Instructor King) is a Peer Support Specialist for medical professionals. In her introduction, Chanel shares with us some of her own traumatic experiences and how the last couple years have transformed her life…
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Episode Twenty-Six: The Oasis
In this episode I reimagine Part 8 of Avoiding Hospice Burnout for nurses. I discuss the following concepts that will help create a healthy environment for staff and co-workers. 1. Listen-Validate-Communicate 2. Assume positive intent 3. The Speed of Trust (Get the book) 4. Getting burned 5.…
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Episode Twenty-Five: Review and Renew
In this episode I review the last year and which episodes were the most popular. I discuss what those episode tell us about this community and what it means for the coming months.. The top 6 episodes from this last year are as follows. Episode 16 “The Last 7 Days.” Episode 10 “On call strategies...
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Episode Twenty-Four: Six Keys to Successful Communication
In this episode I discuss my communication strategy when communicating with patients, families and facility staff. Instead of trying to discuss specific scenarios, I review my overall 6 strategies I use to communicate effectively. I don’t describe these strategies as the umbrella I function…
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Episode Twenty-Three: For Hospice Nurses
In this episode I interview Shelley Henry with Amity Staffing. Shelley shares her 20 year experience in hospice and how it lead her to starting Amity Staffing. She shares with us some of her strategies on bringing awareness to the challenges hospice nurses are facing in the field. We discuss some...
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Episdode Twenty-Two: Case Management and LTC Success
Ten weeks ago I left my role in leadership and went back to case management. In this episode I review some things that I have had to learn as well as some things that have been reinforced. I also discuss my assignment to a hospice friendly facility, and the strategy I used to gain favor with the...
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Episode Twenty-One: The Admissions Process
In this episode I go into depth on best practices for the admission process. I cover the following points in depth. First impressions Time Management Admission in-home schedule Importance of calming presence Review of services Records review Consents Click HERE to download the clinical data sheet...
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Episode Twenty: Oops?
In this episode I pick back up on my ”Avoiding Hospice Burnout” blog series with part 7. Check out the whole series by clicking HERE! For this episode I review the fallout I received after posting the following visit schedule. ============================== 6 patients who will be known as 1-6 All...
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Episode Nineteen: Visit Frequencies
In episode nineteen I go into detail my strategies for managing visit frequencies. To start out the episode I discuss the importance of following agency protocol regardless of any advice I provide. I also challenge leadership to reconsider any expectations that do not make sure patients get…
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Episode Eighteen: Welcome To Your Community
In this episode I announce the creation of a special website I have launched for my listeners. Hospice Nurse Training! At the end of the episode I give away 5 free memberships to this new community. Listen to the episode to get the instructions! In this community you will be able to count on the...
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Episode Seventeen: The LTC Facility
In Episode Seventeen Brian returns to discuss strategies for success in long term care facilities. We answer several great questions from The Hospice Nurse Support Group on Facebook. Throughout this episode we discuss many of the challenges hospice faces when providing care in LTC facilities....
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Episode Sixteen: The Last 7 Days
managing patients and their symptoms in the last 7 days of life. I discuss when to start patients on daily visits, what what science and mathematics I use to calculate scheduled and as needed medications to maintain control of symptoms. I discuss the difference between transitioning and actively...
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Episode Fifteen: Success in the ALF
In this episode Brian and I finally coordinate our schedules to record the first of two episodes to address the challenges working interdisciplinary with staff inside of facilities. This episode was very eye opening for me, and I think it will be for you too. Hold on to your hats, because this...
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Episode Fourteen: Not Too Long
For Episode Fourteen I pick back up on my burnout series. In this episode I address some of the biggest reasons nurses get stuck for long periods of time with their patients. Here is a quick list of topics I discuss. Some visits are just long See everyone twice a week Understanding the two types…
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Episode Thirteen: Orientation Strategies Part 3
Welcome to part 3 of my orientation strategies! In this episode I review that last two weeks of orienting my new nurse. I discuss how impressed I was with her ability to read a room when we made an emergent unscheduled visit. I review how we performed 3 recertification visits and I introduce a…
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Episode Twelve: Orientation Strategies Part 2
y strategy for orientation of a new nurse. In this episode I explain how I feel like I learned the most. My biggest take away from the week was that I need to create a more robust training program for new visits. I’m great at having all my visits organized and planned out. I need to put together…
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About this show
This is the only podcast dedicated to helping hospice nurses find fulfillment while avoiding the burnout that threatens the specialty.
Hosted by James Dibben in Kansas City, Missouri.
Visit our home page at The Hospice Nursing Podcast.
Hosted by
James Dibben
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